Chaw i ei laiin i rilru lai takah kang i nei em? I rilruah hian a chang chuan sour taste i nei thin em? A nih loh leh chaw ei harsa i ti em? Hengte hi mi tam takin an neih symptom a ni a, mahse "gastritis" tiin an hnawl mai thin. Mahse, hengte hi kan ei tur pipe, chu chu chaw kawng (esophagus)-a harsatna awm chhinchhiahna a ni thei. Chuvangin vawiin hian Esophageal Disorders chungchang hi han sawi ila.
A awlsam zawngin, heng esophageal disorder te hi engte nge ni?
Okay, a hmasain esophagus hi eng nge a nih i hrethiam ang u. "Food pipe" kan ti bawk. A awlsam zawngin sawi ila, hei hi kan ka atanga kan pum (stomach) thlenga ei tur phurtu muscle atanga siam tube a ni. Chaw kan ei hian he tube hian ei tur chu kan pum chhungah a nawr thla a ni.
Chuvangin, Esophageal Disorders hi natna leh dinhmun hrang hrang, he chaw kawng hnathawh tibuaitu leh a hnathawh tibuaitu a ni. Hei hian harsatna tam tak a thlen thei a, chu chu chaw ei harsa (dysphagia) leh thinlung natna te a ni. Chung zingah chuan kan hriat vek tawh natna tlanglawn ber chu GERD (Gastroesophageal Reflux Disease) a ni. Chumi chungchang chu nakinah sawi ila.
Esophagus-a natna awm thei ber berte chu engte nge ni?
Natna chi hrang hrang a awm a, chu chuan ril a tichhe thei a ni. Ṭhenkhat chu a tlangpui a, ṭhenkhat chu tlem a tlem zawk. Hengte hi tlem tal hriatthiamna i neih a pawimawh hle. Hriatthiam awlsam takin han thlir ila.
| Dinhmun | A awlsam zawngin hetiang hi a thleng thin. |
|---|---|
| GERD (Gastroesophageal Reflux Natna) 1. A rilru a hah lutuk chuan a rilru a buai em em a. | Hei hi a awm dan tlangpui a ni. Heta thil thleng hi esophagus leh stomach inkar valve (sphincter) chu a khar tha lo a ni. Chuvang chuan pum chhunga acid leh ei tur chi hrang hrangte chu a chungah a luang leh a, chu chu chaw kawng zawhin, kawchhung chhungah a luang lut leh a ni. Hemi chhinchhiahna ber chu Lung natna hi a ni. |
| Achalasia a ni | Heta thil thleng hi a chunga kan sawi tak valve (lower esophageal sphincter) hi a inhawng tha lo a ni. Chu chu a relax lo tihna a ni. Chuvangin chaw chu pum chhungah a lut thei lo va, chaw kawng chhungah a tang tlat thin. Hei hi a chhan dik tak hriat ni lo mah se, chaw kawng chhunga thau (muscles) control tu nerve te tihchhiat vang nia ngaih a ni. |
| Barrett-a chaw kawng (esophagus) a ni | Hun rei tak enkawl loh GERD vei teah chuan acid lo chhuak reng reng avang hian chaw kawng hnuai lam cell te chu a inthlak tan thin. Pum emaw, intestine emaw chhunga cell awm ang deuh an lo ni ta a ni. Hei hi dinhmun hlauhawm tak a ni a, chaw kawng cancer vei theihna a tipung a ni. |
| Eosinophilic chaw kawng natna (esophagitis) a ni | Hemi a thil thleng chu thisen var chi khat eosinophils an tih chu thawkna kawngah a awm khawm a ni. Hengte hi cell chi khat a ni a, allergy-ah chuan a pung tlangpui. Heng cell te hi an lo pung khawm chuan thawkna kawng chhung lam chu a lo hring (inflammation) a ni. Hetiang dinhmun hi allergy hrang hrang nei zingah a awm fo thin. |
| Chaw ei kawng cancer a ni | A chi hnih a awm a, chungte chu Squamous cell carcinoma leh Adenocarcinoma te an ni. Meizial zuk te, zu in nasa lutuk te, hun rei tak chhung GERD te, leh virus infection (HPV) thenkhat te hian heng cancer te hi an vei theihna a tipung a ni. |
| Esophageal diverticulum chu a awm a | Hei hi chaw kawng bang chak lo tak atanga chhuak pouch te tak te an tih chu a ni. I ei hian he pouch chhungah hian chaw chi hrang hrang te te a inkhung thei a ni. |
| Esophageal spasms a awm thin | Hei hi chaw kawng chhunga ruhte inzawmkhawmna, a pangngai lo, na taka tihbuai thut an ti a. Hei hi thil awm lo tak a ni. Hei hian chaw ei tur chu pum chhunga kal a harsat phah a ni. |
| Chaw ei kawng (esophageal strictures) a awm | Esophagus chu a tawi lutuk a. Hei hi acid reflux (GERD) avanga hun rei tak a chhiat hnua chaw kawng (esophagus) a dam chhoh zel avanga hliam (scarring) awm vang a ni thei. Hei hian ei leh in tur kal tlang a ti harsa hle. |
| Hiatal hernia a awm thin | Diaphragm-a khur te tak te, kan rilru leh pum inthenna ruh, chutah chuan pum chunglam chu rilru chhungah a rawn chhuak a. Hei hian acid reflux duhna nasa takin a tipung a ni. |
Chutiang natna vei theihna tipungtu thilte chu engte nge ni?
Okay, tunah chuan natna chi hrang hrang kan hre ta. Chuti a nih chuan engvangin nge an lo awm? Heng natna vei theihna tipungtu thil engemaw zat a awm a.
- Zu in tam lutuk: Zu hian chaw kawng (esophagus) lining a tichhe thei.
- Taksa rihna tam lutuk: Thau lutuk emaw, naupai lai emawa pum chungah pressure a san avangin pum chhunga thil awmte chu a chhuah theihna chance a sang zawk.
- Damdawi thenkhat: Natna tidamtu thenkhat, lungngaihna tidamtu, leh antibiotics thenkhat chuan chaw kawng a nghawng thei.
- Meizial zuk: Meizial zuk leh secondhand smoke-a inhriat hian chaw kawng (esophagus) chhunga valve te a tichak lo thei a, cancer vei theihna a tipung thei bawk.
- Radiation therapy: I kawr emaw, i rilru emaw a cancer ang chi natna avanga radiation therapy i dawng tawh a nih chuan chu pawh chu a nghawng thei bawk.
Nang pawhin heng symptoms te hi i nei ve em?
Thlarau natna lan chhuah dan hi a hnuaia awm dan azirin a inang lo. Mahse symptoms tlanglawn thenkhat i hmuh theih a awm. Chung zinga pakhat emaw, a aia tam emaw i neih leh neih loh en rawh.
Heng symptoms nei zawng zawng hian natna khirh tak an nei vek lo tih hre reng la, mahse hengte hi hriat chian a, doctor thurawn lak hi a finthlak hle.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Lungchhung natna | A rilru chhungril lam a kang. Hei hi GERD chhinchhiahna ber a ni. |
| Chaw ei harsa | Chaw ei laiin rilruah lump awm tih hriat. Chaw chi khat ei loh ang maiin a lang. |
| Regurgitation a ni | Stomach acid emaw undigested food particles emaw chu rilru emaw ka chhungah emaw a rawn chho leh thin. |
| Chhung, pum, emaw hnungzang na | He natna hi a bik takin chaw ei hnuah a awm thei. |
| Hun rei tak khuh emaw, rilru na emaw | Khawsik awm lova khuh chhunzawm zel, rilruah hnah hring ang maia hriatna leh aw ri bengchheng tak. |
| Rihna tihtlem | Chhan awm lo emaw, thawhrimna tel lo emawa i taksa rihna i tihtlem chuan ngaihtuahawm tak a ni. |
He natna hi Doctor hian engtin nge a hriat chian?
Heng symptoms nei doctor i pan hunah chuan i symptoms chungchang chipchiar takin a zawt hmasa ang che. Tichuan a enfiah ang che. A châng chuan i ei laiin i ril pawh a hre thei bawk.
I doctor chuan natna chu eng nge a nih chiang taka hriat theih nan test dang neih belh a rawt thei ang. Ngaihtuah buai suh, hengte hi routine test a ni.
- Upper endoscopy: Hei hi i hmui kaltlangin tube te tak te, flexible tak tawp lamah camera te tak te dahin i chaw kawng, i pum leh i rilru natna hmun hmasa ber enfiah a ni. Tin, rinhlelh awmna hmun atang hian tissue te tak te (biopsy) la chhuakin cancer cell emaw natna dang emaw enfiah theih a ni bawk.
- Barium swallow: Hetah hian barium an tih tui in tur i pe ang. He liquid hi X-ray-ah chuan a var a ni. I in lai chuan X-ray thlalak hrang hrang an la a. Hei hian i chaw kawng (esophagus) kal tlanga tui a kal dan leh khawi hmunah pawh a block emaw, a tawi emaw tih chiang takin i hmu thei a ni.
- Esophageal manometry hmanga chaw kawng (esophageal manometry) te hi: 1.1.Hei hian tui i ei hian i chaw kawng chhunga thau leh valve (sphincter) te hnathawh that dan a teh a ni.
- Esophageal pH test: Hei hian chaw kawng chhunga acid (pH) awm zat tehna a ni. Hei hi GERD a awm leh awm loh finfiah nan a pawimawh hle.
Hei hi eng enkawlna nge ni?
Enkawl dan tur chu i dinhmun a zirin a ni. Mi zawng zawng hi enkawl dan inang vek an ni lo.
Damdawi chi hrang hrang
Vawi tam tak chu damdawi nena nunphung thlak danglam hi a tha hmasa ber thin.
- Antacids, Proton pump inhibitors (PPIs), H2 blockers: Heng damdawi te hian pum chhunga acid siam chhuah tihtlem nan hna an thawk a ni. Hei hian acid hian chaw kawng a tihchhiat leh inflammation a tihziaawm a, a lo chhuak a nih pawhin a ti tlem a ni.
- Botulinum toxin (Botox®) injection: He injection hi esophagus-a muscle spasm tihtawp nan emaw, valve tih hahdam nan emaw hman thin a ni.
Enkawlna leh surgery dang
Damdawi chauhvin a natna a thunun theih lohna hmunah emaw, a na zawkah emaw chuan enkawlna dang hman a ngai thei bawk.
- Endoscopic dilation: Tube dah a, esophagus tawi tawh chu balloon ang chi thil hmanga tihzauh a, endoscopy ang chi hmanga tihzauh dan a ni.
- Esophagectomy: Esophagus natna hmun emaw, a pum emaw surgery hmanga lakchhuah. Hei hi cancer veiah tih a ni tlangpui.
- Laparoscopic antireflux surgery (Nissen fundoplication): Hei hi GERD emaw hiatal hernia natna avanga surgery tih a ni. Hetah hian chaw kawng chunglam chu chaw kawng hnuai lam chu a khuh a, chu chuan valve chu a tichak a ni.
- Heller myotomy leh POEM (Peroral endoscopic myotomy): Hengte hi Achalasia ang chi natna enkawlna a ni. Hei hian lower esophageal sphincter-a muscle chu cut a, a relax a, ei tur chu awlsam zawka pum chhungah a kal theih nan a huam a ni.
Enkawl loh chuan harsatna awm thei
Heng natnate hi uluk taka enkawl a nih loh chuan a chang chuan buaina hi a zual zel thei a ni.
- GERD leh Achalasia ang chi natna hi uluk taka enkawl a nih loh chuan hun kal zelah chaw kawng cancer vei theihna a sang chho zel a ni.
- Regurgitation avang hian ei tur chi hrang hrang chu thlipui (windpipe) atanga chhoin lung chhungah a kal thei a ni. Hei hi aspiration an ti a. Hei hian lung infection pneumonia ang chi a thlen thei a ni .
- Chaw ei harsatna a awm reng chuan ei leh in a tlahniam thei a, chu chuan ei leh in lama harsatna leh tui tlakchhamna a thlen thei a ni .
Risk tihtlem nan thil kan tih theihte
A tha ber chu he natna vei theihna tur tihtlem hi a ni. Heng thilte hian nasa takin a pui ang che, a bik takin GERD ang chi condition control-naah.
- I ei leh in dan thlak danglam:Vawi khata chaw lian tak ei ai chuan nilengin chaw tenau engemaw zat ei thin ang che. I chaw ei ber chu i mut hma darkar 3 tal ei rawh. I ei zawh hnuah snack ei suh.
- Ei leh in thenkhat ei loh tur: Chaw thau tamna, spicy, tomato sauce, citrus fruits (oranges, tangerines), chocolate, coffee, leh carbonated drinks (soda) te hian natna lan chhuahna a tizual thei a ni. Anni chu tihtlem rawh.
- Mut dan: Mut dawnin khum lu chu inches 6-8 vel chawi sang tur a ni. Hei hi khum ke hnuaiah thing hnah ang chi dahin tih theih a ni. Pillow pahnih pathum hmanga lu chawi sang mai chuan thil tam tak a ti thei dawn lo.
- Thiltih \ha lo bansan rawh: Meizial i zuk chuan bânsan tûrin ṭanpuina dîl rawh. Zu in hi tihtlem rawh.
- I taksa rihna hrisel tak vawng reng rawh: I taksa rihna kha thunun rawh. Exercise neih fo thin ang che.
Take-Home Thuchah a ni
- Chhung natna, ei harsa, leh rilru natna ang chi symptoms te chu a pangngai angin hnawl suh. Hengte hi rilru natna chhinchhiahna a ni thei.
- Heng natna zingah hian GERD hi a tam ber a, a chhan ber chu kan nunphung hrisel lo leh ei leh in hrisel loh vang a ni.
- Heng chhinchhiahna tam tak hi nunphung leh ei leh in lama inthlak danglamna awlsam tak hmangin control theih a ni.
- Hetiang symptoms i neih chhunzawm zel chuan i tih duh duh chu ti mai mai suh la, doctor thiam tak hnenah diagnosis leh treatment dik tak i hmuh ngei ngei tur a ni.
- Enkawl loh chuan natna thenkhat chu natna khirh zawk, cancer ang chi thlengin a kal thei a ni. Chuvangin hmalak vat a pawimawh.











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